| NPI | 1245358902 |
|---|---|
| Former Name | NANCY WIRT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NC 2796) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: FL PT22925) |
| Enumeration Date | 2007-03-27 |
| Last Update Date | 2013-07-13 |